01/04/2026
Worried your weight loss has slowed 6–12 months after your gastric sleeve?
That is usually normal biology, not failure.
As weight comes down, your body naturally becomes more energy efficient.
That means:
✔ fewer calories burned at rest
✔ hunger signals may begin to return
✔ meal portions can slowly increase
✔ lower protein or muscle loss can reduce metabolic rate
✔ lifestyle structure becomes more important
This is the phase where the focus shifts from rapid weight loss to protecting long-term results.
The sleeve is still doing its job.
The key is recognising that this stage requires:
protein-first eating
strength work
hydration
sleep
regular follow-up
early correction of grazing or liquid calories
This is exactly why long-term follow-up is part of successful bariatric care.
📍 Local care across Dunedin, Otago & Southland
👨⚕️ Mr Mark Grant
Upper GI & Bariatric Surgeon